Summary
This statistical release makes available the most recent monthly data on NHS-funded maternity services in England, using data submitted to the Maternity Services Data Set (MSDS).
This is the latest report from the newest version of the data set, MSDS.v.2, which has been in place since April 2019. The new data set was a significant change which added support for key policy initiatives such as continuity of carer, as well as increased flexibility through the introduction of new clinical coding. This was a major change, so data quality and coverage has initially reduced from the levels seen in earlier publications. We expect the completeness to improve over time as occurred with the previous version of the MSDS, and are looking at ways of supporting improvements.
The data derived from SNOMED codes is being used in some measures such as those for smoking at booking and birth weight, and others will follow in later publications. SNOMED data is also included in some of the published Clinical Quality Improvement Metrics (CQIMs), where rules have been applied to ensure measure rates are calculated only where data quality is high enough. System suppliers are at different stages of developing their new solution and delivering that to trusts. In some cases, this has limited the aspects of data that could be submitted to NHS Digital.
To help Trusts understand to what extent they met the Clinical Negligence Scheme for Trusts (CNST) Data Quality Criteria during 2022, we produced a Scorecard data file showing data providers' performance against all MSDS-derived Safety Action 2 criteria. We are no longer publishing this file as the assessment month has passed, however we are reviewing how similar data quality information may be more regularly included in publications in the future.
These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. More information about experimental statistics can be found on the UK Statistics Authority website.
Please note that the percentages presented in this report are based on rounded figures and therefore may not total to 100%.
Establishment of Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs), and the abolition of CCGs and STPs as of July 2022
Integrated Care Systems (ICSs) were formally established across the NHS in England on 1 July 2022, with the introduction of Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs), and the abolition of CCGs.
Further information around the introduction of ICBs and ICPs is available via the relevant Organisation Data Service (ODS) page here. ICB and sub-ICB breakdowns are now included as part of this maternity publication series.
Key Facts
121 successful submissions
For November 2022 data, 121 providers successfully submitted data with 121 submitting data on births.
One provider was unable to submit data and one provider has advised their submitted data should be used with caution - see the Data quality statement for more detail.
57,420 bookings in November 2022
57,420 women with an antenatal booking appointment were reported in the period, of which 59% were within the first 10 weeks of pregnancy.
Of the trusts that submitted booking data, there were 33,690 bookings in which the babies' gestational age was in the 0-70 days range.
We received data relating to 44,045 deliveries of 44,680 babies.
We have removed information about external data source counts of birth due to their lack of comparability with MSDS figures. We are investigating a more robust and appropriate replacement, and will reinstate a comparison when this work is complete.
50% of deliveries were spontaneous
50% of deliveries were spontaneous vaginal births, 11% had instrumental assistance, 17% were elective caesarean sections and 22% were emergency caesarean sections.
Administrative Sources
Maternity Services Data Set (MSDS): this is a patient-level data set that captures information about activity carried out by Maternity Services relating to a mother and baby(s), from the point of the first booking appointment until mother and baby(s) are discharged from maternity services. This is a secondary uses data set, which re-uses clinical and operational data for purposes other than direct patient care.
Last edited: 29 March 2023 1:24 pm
